What are some other uses of powered instruments in nasal and sinus surgery?
Powered instrumentation has found many uses in rhinologic surgery. In addition to endoscopic surgery in adults, it has proven useful in pediatric FESS. Also, it has been described as useful in adenoidectomy, choanal atresia, sphenoidotomy, complex frontal sinus surgery, and other applications. Question: What about use of powered instrumentation for children? Answer: Powered instrumentation has been widely described for rhinologic surgery in children. The small confines of the pediatric nasal cavity make this precise instrumentation, with combined suction and cutting action, particularly useful. Powered instrumentation has been described as useful not only in pediatric endoscopic sinus surgery, but more specifically in pediatric sphenoidotomy. Also, some surgeons have described its utility in endoscopic adenoidectomy. The bone-cutting suction drills have been useful for treatment of choanal atresia. Many cases that would otherwise have been done through an open or transpalatal approach